| NPI | 1457996704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN277472) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN277472) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN277472) | |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2021-01-19 |